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POST-INSTALLED ANCHORS REPORT MAYES TESTING ENGINEERS <br /> nirefraMNI<«tm. <br /> Report Number: M7191527.0001 <br /> Service Date: 09/18/19 20225 Cedar Valley Rd Ste 110 <br /> Report Date: 09/23/19 Lynnwood, WA 98036-6365 <br /> 425-742-9360 <br /> Client Project <br /> Providence Health and Services Providence Everett MC Colby Campus Pharmacy <br /> Attn:Accounts Payable 1700 13th St <br /> 600 Broadway Ste 304 Everett, WA <br /> Seattle, WA 98122 <br /> Project No.: M7191527 <br /> Permit No.• B1905-020 Weather: Inside, 70's <br /> Sample . N/A <br /> Inspected the post-installed anchor installation of 1/2" diameter Hilti Kwik-Bolt TZ expansion anchors at the Level <br /> 2 existing slab infills. The anchors were installed per plan page SI.01. The infills were located at grid lines C.5/ <br /> 6.4, D.7/6.4 and B/3.3. Verified anchor product, size and embedment. Verified the anchors were tightened to the <br /> manufacturer's specified 40 foot-pounds. <br /> o the best of our knowledge, the items inspected today are in conformance with approved plans and <br /> specifications. <br /> Services: Special Inspections/Materials Testing <br /> Mayes/Terracon Rep.: Carl Harrington <br /> Reported to: Skanska USA <br /> Contractor: Skanska USA <br /> Report Distribution: <br /> (1)City of Everett WA,T Budden (1)Mayes Testing Engineers,Inc, <br /> Donna Pollard <br /> (1)Mayes Testing Engineers,Inc, (1)Providence Health and Services, Reviewed By: <br /> Todd Wirtz James Grafton <br /> (1)Skanska USA Building Inc,Galen Heath Defoor; PE <br /> Smith <br /> Senior Project Field Manager <br /> The tests were performed in general accordance with applicable ASTM,AASHTO,or DOT test methods. This report is exclusively for the use of the client <br /> indicated above and shall not be reproduced except in full without the written consent of our company. Test results transmitted herein are only applicable to <br /> the actual samples tested at the location(s)referenced and are not necessarily indicative of the properties of other apparently similar or identical materials. <br /> CT0001,10-16-13,Rev.10 , c 9 of l �, <br />